Dental
Johnson, Destyne
Johnson, Destyne was paid $12K by Medicaid between Oct 2021 and Jan 2024, across 7 billing codes. Its largest line is D0191, — 53% of everything it billed.
33Billing provider infoJOHNSON, DESTYNE
SALEM, OR 97301
SALEM, OR 97301
33aNPI1871264234assigned 09/24/2021
33bProvider typeDental Hygienist
28Total paid$12K
24GClaims2,128
24DCodes billed7
24AFirst – last monthOct 2021 – Jan 2024
Compared with peers
Next to other Dental Hygienist providers in Oregon
Rank by total paid#7 of 78
Median peer was paid$216.04
This provider vs. median57×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 292 | $2K | |
| 2022 | 1,482 | $8K | |
| 2023 | 328 | $3K | |
| 2024incomplete | 26 | $124.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0191 | 53% | 659 | 650 | $7K | |
| D1206 | Topical application of fluoride varnish | 31% | 333 | 332 | $4K |
| D1351 | Sealant - per tooth | 12% | 44 | 12 | $1K |
| D0602 | 2.9% | 217 | 214 | $361.00 | |
| D0601 | <1% | 131 | 131 | $90.00 | |
| D1330 | <1% | 657 | 648 | $86.00 | |
| D0603 | <1% | 87 | 86 | $35.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.